PMID- 26964395 OWN - NLM STAT- MEDLINE DCOM- 20160502 LR - 20190827 IS - 0030-6622 (Print) IS - 0030-6622 (Linking) VI - 118 IP - 12 DP - 2015 Dec TI - [Adverse Events of Sublingual Immunotherapy in 207 Patients with Japanese Cedar Pollinosis]. PG - 1429-35 AB - Sublingual immunotherapy (SLIT) for Japanese cedar pollinosis is effective, however, caution must be exercised against allergen-specific adverse events (AEs) during SLIT. PURPOSE: The purpose of this study was to clarify the AEs of SLIT in a large cohort of patients with Japanese cedar pollinosis. METHODS: We conducted a detailed survey, by both questionnaires and direct interviews, of 207 patients receiving SLIT at our clinic. RESULTS: Eighty-four of the 207 patients (40.5%) developed AEs, with AEs involving the oral cavity and throat being the most common (56 patients; 27.1%). Sixteen patients (7.9%) had local mucosal swelling, but the swelling resolved in all the cases. Other allergen-induced symptoms such as nasal symptoms (29 events, 14.0%), eye symptoms (14 events, 6.8%) and ear symptoms (20 events, 9.7%) were also recognized. All the AEs were minor, and discontinuation of SLIT was not necessitated in any of the patients because of AEs. There were 52 AEs (25.0%) in the up-dose phase and 61 AEs (29.3%) in the maintenance phase. However, only 4 of the 161 patients (2.5%) developed AEs during the pollen season. Most AEs developing during the maintenance phase occurred in the first few weeks. In 60% of the cases, the AEs disappeared within 2 weeks, and in 6.0% (5 events), they persisted for longer than 2 months. There were no age-or sex-related differences in the prevalence of cedar pollen-specific IgE, or in the adherence to the treatment. CONCLUSION: AEs in SLIT were shown in many patients, however, the severity of AEs was mild and no events interfered SLIT. FAU - Ogawa, Yukiko AU - Ogawa Y FAU - Yuta, Atsushi AU - Yuta A FAU - Arikata, Masahiko AU - Arikata M FAU - Kozaki, Hideaki AU - Kozaki H FAU - Ohta, Nobuo AU - Ohta N FAU - Suzuki, Yusuke AU - Suzuki Y FAU - Shimizu, Takeshi AU - Shimizu T LA - jpn PT - English Abstract PT - Journal Article PL - Japan TA - Nihon Jibiinkoka Gakkai Kaiho JT - Nihon Jibiinkoka Gakkai kaiho JID - 7505728 RN - 0 (Allergens) SB - IM MH - Administration, Sublingual MH - Adult MH - Allergens/*administration & dosage MH - Child MH - Cryptomeria/*immunology MH - Female MH - Humans MH - Immunotherapy/*adverse effects MH - Male MH - Middle Aged MH - Rhinitis, Allergic, Seasonal/immunology/*therapy EDAT- 2016/03/12 06:00 MHDA- 2016/05/03 06:00 CRDT- 2016/03/12 06:00 PHST- 2016/03/12 06:00 [entrez] PHST- 2016/03/12 06:00 [pubmed] PHST- 2016/05/03 06:00 [medline] AID - 10.3950/jibiinkoka.118.1429 [doi] PST - ppublish SO - Nihon Jibiinkoka Gakkai Kaiho. 2015 Dec;118(12):1429-35. doi: 10.3950/jibiinkoka.118.1429.